A Case of Spontaneous Renal Artery and Celiac Artery Dissection in Healthy Man

Korean Journal of Nephrology 2008;27(5):626-630.

Jong Hun Heo, M.D., Geon Tae Park, M.D., Jun Whee Song, M.D., Sang Woo Yim, M.D., Sung Cho, M.D. and Sung Rok Kim, M.D.

Department of Internal Medicine, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Korea

증례 : 건강한 젊은 남자에서의 자발성 신동맥 및 복강동맥 박리 1예

허종훈, 박건태, 송준휘, 임상우, 김정훈, 조성, 김성록

성균관대학교 의과대학 마산삼성병원 내과

Abstract

Spontaneous dissection of peripheral arteries unrelated to the aorta is rare. Cases reported in the literature have involved the renal arteries, the coronary arteries, the cerebral arteries, and visceral arteries, in order of incidence. There is no consensus yet on indications for medical or surgical therapeutic modality. As a consequence of the rarity of spontaneous dissection of peripheral arteries, its natural history has been poorly described. A healthy 37-year-old male with normotension was admitted with an acute onset of left flank pain. Physical examination turned out an unremarkable result. Right renal infarction and splenic infarction was diagnosed by abdominal computed tomography. A spiral CT angiogram and angiography showed dissection of main right renal artery and celiac artery with involvement of branches. One year later, he has remained well and normotensive without treatment. To our knowledge, this is the first case of spontaneous renal and celiac artery dissection in normotensive patient in Korea.

Key Words: Celiac artery, Renal artery, Artery dissection